Channell Family Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHANNELL FAMILY MEDICAL GROUP, INC

Practice address

8008 Haven Ave
Suite 100
Rancho Cucamonga, CA 91730-3070

Phone

(909) 483-1236

Fax

(909) 483-1463

NPI assigned

May 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Guevara-Channell, M.D.NPI 1841266392

Title

Owner

Phone

(909) 483-7836

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Guevara-Channell, MD

  • Family Medicine Physician
  • Rancho Cucomonga, CA
  • NPI 1841266392
  Medicare reassignment NPD Authorized official
• Daniel B Channell, MD

  • Obstetrics & Gynecology Physician
  • Rancho Cucamonga, CA
  • NPI 1699749044
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1699722744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 HAVEN AVE",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303070",
            "telephone_number": "909-483-1236",
            "fax_number": "909-483-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 HAVEN AVE",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303070",
            "telephone_number": "909-483-1236",
            "fax_number": "909-483-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNELL FAMILY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "GUEVARA-CHANNELL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-483-7836",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Chang
• Pen-Laing Chang, MD
• Sylvia Lou Chang
• Teresa Chang, L.AC.
• Tiffany X. Chang
• Daniel B Channell, MD
• Lazarus Chanza, D.D.S
• Elden S Chao
• Chaparral Medical Group Inc
• Chaparral Medical Group Inc

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.